Miscellaneous MCE Documents

This page includes links for downloading miscellaneous managed care entity (MCE) documents for the Indiana Health Coverage Programs (IHCP).

MCE/PACE Enrollment Form

MCE/PACE Enrollment Form

Adverse Action Calendar

2020 Adverse Action Dates

Edit/Audit, Explanation of Benefits and Adjustment Reason Code Crosswalk

• Edit-Audit-EOB-ARC-Crosswalk – June 11, 2024

National Correct Coding Initiative (NCCI) Documents

2024 - Quarter 3

• MCD-MUE-DME-V2024Q3-F1-E.xlsx.zip
• MCD-MUE-OPH-V2024Q3-F1-E.xlsx.zip
• MCD-MUE-PRA-V2024Q3-F1-E.xlsx.zip
• MCD-PTP-DME-V2024Q3-F1-E.xlsx.zip
• MCD-PTP-OPH-V2024Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2024Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2024Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2024Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2024Q3-F1-E-Part3.xlsx.zip

2024 - Quarter 2

• MCD-MUE-DME-V2024Q2-F1-E.xlsx.zip
• MCD-MUE-OPH-V2024Q2-F1-E.xlsx.zip
• MCD-MUE-PRA-V2024Q2-F1-E.xlsx.zip
• MCD-PTP-DME-V2024Q2-F1-E.xlsx.zip
• MCD-PTP-OPH-V2024Q2-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2024Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2024Q2-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2024Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2024Q2-F1-E-Part3.xlsx.zip

2024 - Quarter 1

• MCD-MUE-DME-V2024Q1-F1-E(1)(1).xlsx.zip
• MCD-MUE-OPH-V2024Q1-F1-E_R1(1).xlsx.zip
• MCD-MUE-PRA-V2024Q1-F1-E_R1(1).xlsx.zip
• MCD-PTP-DME-V2024Q1-F1-E(1)(1).xlsx.zip
• MCD-PTP-OPH-V2024Q1-F1-E-Part1_R1(1).xlsx.zip
• MCD-PTP-OPH-V2024Q1-F2-E-Part2(1)(1).xlsx.zip
• MCD-PTP-PRA-V2024Q1-F1-E-Part1_R1(1).xlsx.zip
• MCD-PTP-PRA-V2024Q1-F1-E-Part2_R1(1).xlsx.zip
• MCD-PTP-PRA-V2024Q1-F1-E-Part3_R1(1).xlsx.zip

2023 - Quarter 4

• MCD-MUE-DME-V2023Q4-F1-E(1).xlsx.zip
• MCD-MUE-OPH-V2023Q4-F1-E(1)(1).xlsx.zip
• MCD-MUE-PRA-V2023Q4-F1-E(1)(1).xlsx.zip
• MCD-PTP-DME-V2023Q4-F1-E(1)(1).xlsx.zip
• MCD-PTP-OPH-V2023Q4-F2-E-Part1(1).xlsx.zip
• MCD-PTP-OPH-V2023Q4-F2-E-Part2(1).xlsx.zip
• MCD-PTP-PRA-V2023Q4-F1-E-Part1(1).xlsx.zip
• MCD-PTP-PRA-V2023Q4-F1-E-Part2(1).xlsx.zip
• MCD-PTP-PRA-V2023Q4-F1-E-Part3(1).xlsx.zip

2023 - Quarter 3

• MCD-MUE-DME-V2023Q3-F1-E.xlsx.zip
• MCD-MUE-OPH-V2023Q3-F1-E.xlsx.zip
• MCD-MUE-PRA-V2023Q3-F1-E.xlsx.zip
• MCD-PTP-DME-V2023Q3-F1-E.xlsx.zip
• MCD-PTP-OPH-V2023Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2023Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2023Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2023Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2023Q3-F1-E-Part3.xlsx.zip

2023 - Quarter 1

• MCD-MUE-DME-V2023Q1-F1-E.xlsx.zip
• MCD-MUE-OPH-V2023Q1-F1-E.xlsx.zip
• MCD-MUE-PRA-V2023Q1-F1-E.xlsx.zip
• MCD-PTP-DME-V2023Q1-F1-E.xlsx.zip
• MCD-PTP-OPH-V2023Q1-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2023Q1-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2023Q1-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2023Q1-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2023Q1-F1-E-Part3.xlsx.zip

2022 - Quarter 4

• MCD-MUE-DME-V2022Q4-F1-E.xlsx.zip
• MCD-MUE-OPH-V2022Q4-F1-E.xlxs.zip
• MCD-MUE-PRA-V2022Q4-F1-E.xlsx.zip
• MCD-PTP-DME-V2022Q4-F1-E.xlsx.zip
• MCD-PTP-OPH-V2022Q4-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2022Q4-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q4-F1-E-Part1.xlsx,zip
• MCD-PTP-PRA-V2022Q4-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q4-F1-E-Part3.xlsx.zip

2022 - Quarter 3

• MCD-MUE-DME-V2022Q3-F1-E.xlsx.zip
• MCD-MUE-OPH-V2022Q3-F1-E.xlxs.zip
• MCD-MUE-PRA-V2022Q3-F1-E.xlsx.zip
• MCD-PTP-DME-V2022Q3-F1-E.xlsx.zip
• MCD-PTP-OPH-V2022Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2022Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q3-F1-E-Part1.xlsx,zip
• MCD-PTP-PRA-V2022Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q3-F1-E-Part3.xlsx.zip

2022 - Quarter 2

• MCD-MUE-DME-V2022Q2-F1-E.xlsx.zip
• MCD-MUE-OPH-V2022Q2-F1-E.xlxs.zip
• MCD-MUE-PRA-V2022Q2-F1-E.xlsx.zip
• MCD-PTP-DME-V2022Q2-F1-E.xlsx.zip
• MCD-PTP-OPH-V2022Q2-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2022Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q2-F1-E-Part1.xlsx,zip
• MCD-PTP-PRA-V2022Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q2-F1-E-Part3.xlsx.zip

2022 - Quarter 1

• MCD-MUE-DME-V2022Q1-F2-E.xlsx.zip
• MCD-MUE-OPH-V2022Q1-F2-E.xlxs.zip
• MCD-MUE-PRA-V2022Q1-F2-E.xlsx.zip
• MCD-PTP-DME-V2022Q1-F2-E.xlsx.zip
• MCD-PTP-OPH-V2022Q1-F2-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2022Q1-F2-E-Part2.xlsx.zip
• MCD-PTP-OPH-V2022Q1-F3-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2022Q1-F3-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F2-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F2-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F2-E-Part3.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F3-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F3-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2022Q1-F3-E-Part3.xlsx.zip

2021 – Quarter 4

• MCD-MUE-DME-V2021Q4-F2-E.xlsx.zip
• MCD-MUE-OPH-V2021Q4-F2-E.xlsx.zip
• MCD-MUE-PRA-V2021Q4-F2-E.xlsx.zip
• MCD-PTP-DME-V2021Q4-F2-E.xlsx.zip
• MCD-PTP-OPH-V2021Q4-F2-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2021Q4-F2-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q4-F2-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2021Q4-F2-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q4-F2-E-Part3.xlsx.zip

2021 – Quarter 3

• MCD-MUE-DME-V2021Q3-F1-E.xlsx.zip
• MCD-MUE-OPH-V2021Q3-F1-E.xlsx.zip
• MCD-MUE-PRA-V2021Q3-F1-E.xlsx.zip
• MCD-PTP-DME-V2021Q3-F1-E.xlsx.zip
• MCD-PTP-OPH-V2021Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2021Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q3-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2021Q3-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q3-F1-E-Part3.xlsx.zip

2021 – Quarter 2

• MCD-MUE-DME-V2021Q2-F1-E.xlsx.zip
• MCD-MUE-OPH-V2021Q2-F1-E.xlsx.zip
• MCD-MUE-PRA-V2021Q2-F1-E.xlsx.zip
• MCD-PTP-DME-V2021Q2-F1-E.xlsx.zip
• MCD-PTP-OPH-V2021Q2-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2021Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q2-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2021Q2-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q2-F1-E-Part3.xlsx.zip

2021 – Quarter 1

• MCD-MUE-DME-V2021Q1-F1-E.xlsx.zip
• MCD-MUE-DME-V2021Q1-F2-E.xlsx.zip
• MCD-MUE-OPH-V2021Q1-F1-E.xlsx.zip
• MCD-MUE-OPH-V2021Q1-F2-E.xlsx.zip
• MCD-MUE-PRA-V2021Q1-F1-E.xlsx.zip
• MCD-MUE-PRA-V2021Q1-F2-E.xlsx.zip
• MCD-PTP-DME-V2021Q1-F1-E.xlsx.zip
• MCD-PTP-DME-V2021Q1-F1-E.xlsx-Replacement.zip
• MCD-PTP-OPH-V2021Q1-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-V2021Q1-F1-E-Part1.xlsx-Replacement.zip
• MCD-PTP-OPH-V2021Q1-F1-E-Part2.xlsx.zip
• MCD-PTP-OPH-V2021Q1-F1-E-Part2.xlsx-Replacement.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part1.xlsx-Replacement.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part2.xlsx-Replacement.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part3.xlsx.zip
• MCD-PTP-PRA-V2021Q1-F1-E-Part3.xlsx-Replacement.zip
• MCD-PTP-PRA-V2021Q1-F1-T.txt.zip
• MCD-PTP-PRA-V2021Q1-F1-T.txt-Replacement.zip

2020 – Quarter 4

• MCD-MUE-DME-v2020Q4-F1-E.xlsx.zip
• MCD-MUE-DME-v2020Q4-F1-E.xlsx-Replacement.zip
• MCD-MUE-DME-v2020Q4-F1-T.txt.zip
• MCD-MUE-OPH-v2020Q4-F1-T.txt.zip
• MCD-MUE-OPH-v2020Q4-F2-E.xlsx.zip
• MCD-MUE-OPH-v2020Q4-F2-E.xlsx-Replacement.zip
• MCD-MUE-PRA-v2020Q4-F1-E.xlsx.zip
• MCD-MUE-PRA-v2020Q4-F1-E.xlsx-Replacement.zip
• MCD-MUE-PRA-v2020Q4-F1-T.txt.zip
• MCD-PTP-DME-v2020Q4-F1-E.xlsx.zip
• MCD-PTP-DME-v2020Q4-F1-E.xlsx-Replacement.zip
• MCD-PTP-DME-v2020Q4-F1-T.txt.zip
• MCD-PTP-OPH-v2020Q4-F1-E-Part1.xlsx.zip
• MCD-PTP-OPH-v2020Q4-F1-E-Part2.xlsx.zip
• MCD-PTP-OPH-v2020Q4-F2-E-Part1.xlsx-Replacement.zip
• MCD-PTP-OPH-v2020Q4-F2-E-Part2.xlsx-Replacement.zip
• MCD-PTP-OPH-v2020Q4-F1-T.txt.zip
• MCD-PTP-PRA-v2020Q4-F1-E-Part1.xlsx.zip
• MCD-PTP-PRA-v2020Q4-F1-E-Part2.xlsx.zip
• MCD-PTP-PRA-v2020Q4-F1-E-Part3.xlsx.zip
• MCD-PTP-PRA-v2020Q4-F2-E-Part1.xlsx-Replacement.zip
• MCD-PTP-PRA-v2020Q4-F2-E-Part2.xlsx-Replacement.zip
• MCD-PTP-PRA-v2020Q4-F2-E-Part3.xlsx-Replacement.zip
• MCD-PTP-PRA-v2020Q4-F1-T.txt.zip

2020 – Quarter 2

• MCD-MUE-DME-v2020Q2-F1-D.txt.zip
• MCD-MUE-DME-v2020Q2-F1-E.xlsx.zip
• MCD-MUE-DME-v2020Q2-F1-E.xlsx(01).zip
• MCD-MUE-DME-v2020Q2-F1-T.txt.zip
• MCD-MUE-OPH-v2020Q2-F1-D.txt.zip
• MCD-MUE-OPH-v2020Q2-F1-E.xlsx.zip
• MCD-MUE-OPH-v2020Q2-F1-T.txt.zip
• MCD-MUE-OPH-v2020Q2-F2-E.xlsx.zip
• MCD-MUE-PRA-v2020Q2-F1-D.txt.zip
• MCD-MUE-PRA-v2020Q2-F1-E.xlsx.zip
• MCD-MUE-PRA-v2020Q2-F1-T.txt.zip
• MCD-MUE-PRA-v2020Q2-F2-E.xlsx.zip
• MCD-PTP-DME-v2020Q2-F1-E.xlsx.zip
• MCD-PTP-OPH-v2020Q2-F3-E-Part1.xlsx.zip
• MCD-PTP-OPH-v2020Q2-F3-E-Part2.xlsx.zip
• MCD-PTP-PRA-v2020Q2-F3-E-Part1.xlsx.zip
• MCD-PTP-PRA-v2020Q2-F3-E-Part2.xlsx.zip